<%-- 
    Document   : editGejala
    Created on : 13 Jan 12, 20:51:45
    Author     : Aditya-Z
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>JSP Page</title>
    </head>
    <body>
        <form method ='post' action="gejala?u=gejala_update">
  <fieldset>
                
                <table width="293" height="175">
              
                 <tr>
                    <td width="147" height="45">Nama Penyakit</td>
                    <td width="37"><label>
                    <input type='text' name='Nama_penyakit' />
                     </label></td>
                 </tr>
                
                 <td width="147" height="45"> Tingkatan Penyakit </td>
                    <td>
                 Ringan <input name="tingkit" type="radio" value="Ringan" />
                  
                 Sedang <input name="tingkit" type="radio" value="Sedang" />
                  
                  Berat <input name="tingkit" type="radio" value="Berat" />
                  
                 Kritis <input name="tingkit" type="radio" value="Kritis" />
                  </td>
                </tr>
                <tr>
                 
                
                <tr>
                    <td width="147" height="45"> Gejala </td>
                    <td width="37">
                        <textarea name='ketgejala'>
                        </textarea></td>
                      </tr>
                
                      <td><input type="submit" name="Daftar" value="Submit" /></td>
                 <td>&nbsp;</td>
                </tr>
                
                
                </table>
                
  </fieldset></form>
    </body>
</html>
